| Educational Service District 123 | |
|
3918 W Court St Pasco WA 99301-2775 | |
| (509) 544-5761 | |
| (509) 543-3328 |
| Full Name | Educational Service District 123 |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 3918 W Court St, Pasco, Washington |
| Authorized Official Name and Position | Diane Lois Shepherd (PREVENTION & TREATMENT CENTER DIREC) |
| Authorized Official Contact | 5095445761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Educational Service District 123 3918 W Court St Pasco WA 99301-2775 Ph: (509) 544-5761 | Educational Service District 123 3918 W Court St Pasco WA 99301-2775 Ph: (509) 544-5761 |
| NPI Number | 1437339306 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 07/08/2024 |
| Certification Date | 07/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437339306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11135800 (Washington) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Tri-cities Community Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 W Court St, Pasco, WA 99301 Phone: 509-545-6506 Fax: 509-546-0520 | |
Robert Olsen Md Washington Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1123 W Court St, Pasco, WA 99301 Phone: 971-300-0654 Fax: 720-881-9063 | |
New Dawn Counseling Spc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 W Lewis St Ste 110, Pasco, WA 99301 Phone: 509-308-4389 | |
Tri-cities Community Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-547-9329 | |
Inherent Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5817 Salem Dr, Pasco, WA 99301 Phone: 253-230-2422 Fax: 504-380-0925 | |
Comprehensive Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 Phone: 509-412-1051 Fax: 509-412-1052 | |
Virginia Rickertsen Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N 20th Ave, Pasco, WA 99301 Phone: 509-547-9545 Fax: 509-546-0557 |